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The 2nd HPD report - Health Policy Monitor

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<strong>The</strong> policy emphasizes personal responsibility for health care<br />

coverage while expanding the role of medical insurance in financing<br />

health care costs. As an incentive, the government offers<br />

employers additional tax reductions of about 1 percent starting in<br />

April 2004.<br />

Sources and further reading:<br />

www.mom.gov.sg/MOM/CDA/0,1858,4469--------1760----1,<br />

00.html<br />

www.mti.gov.sg/public/PDF/CMT/ERC_Wages_Executi<br />

veSummary.pdf?sid=148&cid=1440<br />

USA: <strong>Health</strong> Insurance Portability and Accountability Act of 1996<br />

In 2003, Congress passed important amendments to the 1996<br />

<strong>Health</strong> Insurance Portability and Accountability Act (HIPAA).<br />

HIPAA protects citizens’ health coverage during events such as<br />

changing or losing jobs, pregnancy, relocation or divorce. <strong>The</strong><br />

portability aspects also provide rights and protection to employers<br />

when they implement and renew health coverage for their employees.<br />

<strong>The</strong> accountability measures protect the integrity, confidentiality<br />

and availability of electronic health information.<br />

<strong>The</strong> HIPAA Administrative Simplification—the first-ever federal<br />

privacy standards to protect patients’ medical records and<br />

other health information provided to health plans, doctors, hospitals<br />

and other health care providers—took effect on April 14,<br />

2003. Developed by the Department of <strong>Health</strong> and Human Services<br />

(HHS), these new standards give patients access to their<br />

medical records and more control over how their personal health<br />

information is used and disclosed. <strong>The</strong>y represent a uniform,<br />

federal floor of privacy protections for consumers across the<br />

country. <strong>The</strong> new regulations do not affect state laws providing<br />

additional protections to consumers.<br />

Other recent amendments to the HIPAA (particularly in 2001<br />

and 2002) brought reforms in terms of portability, access and<br />

renewability requirements. <strong>The</strong> law prohibits discrimination<br />

against participants based on health status.<br />

83<br />

Enhancing<br />

individual<br />

responsibility<br />

Improvements<br />

in insurance<br />

coverage<br />

Privacy of<br />

health data

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